Office of the Commissioner of Insurance: Administrative actions July 2017

Contact:
Elizabeth Hizmi
(608) 267-9460
elizabeth.hizmi@wisconsin.go
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Madison, WI—OCI has taken the following administrative actions. In many of these cases the respondent denied the allegations but consented to the action taken. Any forfeitures paid in these administrative actions are deposited in the Common School Fund which is administered by the Board of Commissioners of Public Lands. The earnings from this fund are distributed to all public K-12 schools in Wisconsin and are used by school libraries to purchase books. Copies of the administrative action orders may be viewed online at https://ociaccess.oci.wi.gov/OrderInfo/OrdInfo.oci.

OCI is responsible for overseeing the operations and marketing of insurance companies and agents in Wisconsin. OCI encourages anyone with a question or a complaint regarding an insurance company or agent to contact the office at this toll-free telephone number: 1-800-236-8517.

Allegations and Actions Against Agents

D. Juane A. Anthony, 7054 Burcot #34, Las Vegas, NV 89156, had his application for an insurance license denied. This action was taken based on allegations of having a criminal conviction that may be substantially related to insurance marketing type conduct.

Robert Arredondo, 12314 Abbey Park, San Antonio, TX 78249, had his application for an insurance license denied for 30 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Oklahoma on a licensing application.

Lucas L. Ault, 2223 9th Ave., Chetek, WI 54728, agreed to the 31-day denial of his insurance licensing application and agreed to the issuance of a 2-year conditional license. These actions were taken based on allegations of failing to disclose a criminal conviction on a licensing application and having criminal convictions that may be substantially related to insurance marketing type conduct.

James A. Bond, 2237 Marshall Pkwy., Waukegan, IL 60085, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Illinois on a licensing application.

Goldy Brown, III, 1633 Prairie Ave., Montgomery, AL 36117, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Daniel J. Burke, 80 St. Paul St., Ste. 4F, Rochester, NY 14604, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application.

Tia L. Chanthavong, 856 Kellogg St., Green Bay, WI 54303, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Jason J. Ellingson, 221 S. Main St., Luck, WI 54853, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to timely disclose an administrative action taken by the Wisconsin Department of Financial Institutions while previously licensed by OCI.

Cory D. Gates, 1218 Cardinal St. NW, Bangor, WI 54614, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Joshua R. Giebner, 405 S. Page St., Apt. 1, Stoughton, WI 53589, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application.

Daniel M. Jemison, 10540 S. Western Ave., Ste. 309, Chicago, IL 60643, had his application for an insurance license denied for 30 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application.

Aaron Johnson, 720 S. Marquette St., Apt. 308, Racine, WI 53403, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application and having criminal convictions that may be substantially related to insurance marketing type conduct.

Teresa M. Jorgensen, 1202 S. 5th Ave., Wausau, WI 54401, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Michael A. Knox, 1062 Timbervale Trl., Highlands Ranch, CO 80129, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application.

Yeng Kong Lee, 3616 W. National Ave., Milwaukee, WI 53215, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Melissa T. Maker, 2734A S. Superior St., Milwaukee, WI 53207, had her application for an insurance license denied and her hearing request dismissed. These actions were taken based on allegations of failing to disclose pending criminal charges on a licensing application, having unpaid civil money judgments, providing false information on a licensing application and in response to OCI inquiries, and failing to appear at a hearing as ordered.

Kevin J. Mann, 3126 River Valley Rd., Waukesha, WI 53189, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application.

Thomas C. Moore, 1000 S. 50th Ave., Apt. 36, Wausau, WI 54401, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application.

Melissa Mortimer (aka Melissa Matteson), 727 Prairie Ave., Hillsboro, WI 54634, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Wanda F. Nash, 9030G N. 95th St., Milwaukee, WI 53224, had her application for an insurance license denied. This action was taken based on allegations of having a criminal conviction that may be substantially related to insurance marketing type conduct, failing to disclose criminal convictions on a licensing application, owing delinquent child support, having unpaid civil money judgments and court costs, and failing to apply for and obtain a federal crime waiver.

Christopher R. Obst, 2341 S. Sunnyslope Rd., New Berlin, WI 53151, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Falisa Onipede, 3723 N. 85th St., Milwaukee, WI 53222, had her application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application.

Lisa Parker, 9803N State Rd. 27, Hayward, WI 54843, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Shawn A. Pehrson, 230 Mahtomedi Ave., Mahtomedi, MN 55115, had his application for an insurance license denied and his hearing request dismissed. These actions were taken based on allegations of failing to disclose an administrative action taken by the state of Minnesota on a licensing application, having an administrative action involving the violation of another state’s insurance laws, failing to obtain and provide evidence of a federal crime waiver, failing to respond promptly to OCI, and withdrawing his appeal request at the commencement of the scheduled administrative hearing.

Julie L. Roelke, 493 Tower Rd., Unit A, Rio, WI 53960, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Brad S. Sauer, 114 N. Broadway, Apt. 2, De Pere, WI 54115, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application and having unpaid court obligations and insurance company money judgments.

Catherine M. Schelter, 3150 S. Pinewood Creek Ct., Apt. 311, New Berlin, WI 53151, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Paul R. Schultz, 1912 N. Royal Birkdale Dr., Vernon Hills, IL 60061, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Illinois and an employment termination for cause on a licensing application.

Dino Shackelford, Jr., 4363 W. Dean Rd., Apt. 258, had his application for an insurance license denied. This action was taken based on allegations of owing delinquent child support and having criminal convictions that may be substantially related to insurance marketing type conduct.

Amanda Tallent, 107 N. Pelham St., Apt. 2, Rhinelander, WI 54501, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Gregory J. Thoemke, 707 1st St., P.O. Box 365, New Glarus, WI 53574, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Allen Thomas, P.O. Box 793, Green Bay, WI 54305, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose a criminal conviction and an administrative action taken by the state of California on a licensing application.

David R. Tillou, 10226 167th St. W., Lakeville, MN 55044, was ordered to pay a forfeiture of $1,000.00, was ordered to properly and timely disclose future administrative actions, criminal proceedings, and lawsuits, and was ordered to provide OCI with fully accurate and complete information in all filings, including licensing applications. These actions were taken based on allegations of failing to timely report to OCI two administrative actions taken by the state of Minnesota and failing to disclose them in a licensing renewal application.

Helen L. Whitten-Twine, 2411A N. 24th Pl., Milwaukee, WI 53206, had her application for an insurance license denied. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application, having criminal convictions that may be substantially related to insurance marketing type conduct, and failing to complete a licensing application.

Kenya C. Williams, 3756 N. 4th St., Milwaukee, WI 53212, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Chan Xiong, 828 S. 11th Ave., Wausau, WI 54401, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application and having an unpaid civil money judgment.

Copies of Administrative Actions

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